Larette Jackson, CRNA

NPI 1952360851 · on the registry since 2006

Practice

Address: 2451 Cumberland Pkwy Se
Ste #3414
Atlanta, GA 30339
Phone: (832) 283-7792
Organisation at this address: Real Custom Hair
Tai Davis Medical Wigs
Publix Super Markets Inc
Regal Counseling Services
Digipluz Healthcare Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia